The Pacific commercial advertiser. [volume] (Honolulu, Hawaiian Islands) 1885-1921, 1887-04-30
IMPLANTING TEETH.
DESCRIPTION OF A REMARKABLE
OPERATION IN DENTAL SURGERY.

A Doctor who Has Great Faith in Hia
Methods OF OBSERVATION-DISCLOSURES of the
Mistakes which Experimenters Have
Made.
A few months ago we gave report Of
what Dr.. William j. Younger, San Fran
cisco, Cal, had been doing in the way of
imDlanting teeth into artificial sockets
At that time he considered it essential to
preserve the vitality of the preferential
membrane by keeping the tooth In water
of a temperature Of about 120s F., or to
implant the tooth, just after extraction, in
the comb of a cock.
Since then he has discovered that the
preferential membrane viii retain its
vitality for 10 months, and how amuch
longer has not been. determined, Without
any care, being carried intthe pocket, left
on the dressing case, etc.
The report of this case, one of several,
is given in pam ph1et0f1 pages, entitled
'sImplantation of Teeth and Preferential
Life, = being a report made to the. CalifOr
MIA State Denta1s association, July 81,
1885. The doctor has great faith in the
operation, has succeeded beyond his 'tmost
sanguine expectations, and believes
'sthat in a short while it will become as
firmly established in professional practice
as any other operation requiring skin and
judgment"
THE DOCTORS PRACTICE.
The doctors practice is to lay the ex
tracted teeth aside I'M aeclean, cool dry
place, for future use. He forms the socket
with graded trephines, finishing the walls
with burs OF various shapes.
Previous to inserting the tooth in the
socket ne soaks. it for half an hour in
water. containing bi-chloride of mercury
one in a Thousand, temperature no. to
1907 F.; during the operation of forming
the socket he washes, it out with, cold
water, containing the same percentage of
bi-cloride mercury trying the tooth
from time to time, always return
ing the tooth to its bath, He forces
the tooth finally to place with an
instrument such as is used to force
a pivot tooth into lpositions Using no
ligatures to retain the tooth unless abso-
Iutely necessary. In answering the OBJ
jections to this operation by those who
have met with failures in replantatioD
j and Transformation ihesays: -
Nov. if eyzWolld but consider the
conditions and circumstances under which
these different operations are undertaken,
they would readily see that the. premises
upon which they ground their assumption
are unSOund and deceitful For instance,
in repiantatiOn, as this operation is usually
PERFORMED, the parts, that is, the perice-
mental membrane, the apex of the root
and the alveoler process Immediately sur
rounding these, are highly inflamed: u
Z state of disease, with puss either already
formed or forming at the end of the root,
and the operation is undertaken with the
view of relieving or aborting an alYeolaT
abscess. A portion of the diseased apex
is then cut off, and the tooth is forced
back into the cavity. Here we have a
diseased root thrust back into a diseased
socket. The disease not removed, its con-
ditions are simply modified; and while
the congestion may subside, and the tooth
becomes comparatively comfortable, the
disentegration of the root substaRce-al-
ready begun--is. likely to- continue, and
in the course of time the entire root be-
comes destroyed, or what is called abb
sorbed; and the crown drops off. So